| NPI | 1861128852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA ARNP.AP.61330046) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 60084144) |
| 363L00000X Nurse Practitioner (Licence: WA 61330046) | |
| Enumeration Date | 2022-08-01 |
| Last Update Date | 2025-02-11 |